CPT code 64624: Genicular nerve ablation, three or more branches2026 Medicare rate & RVUs in South Dakota
Reports neurolytic treatment of three or more genicular nerve branches, commonly by radiofrequency lesioning for persistent knee pain.
In South Dakota, Medicare pays $406.29 for 64624 in the office and $128.39 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 64624 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 64624 covers
This procedure destroys genicular nerve branches that carry pain signals from the knee, most commonly through radiofrequency lesioning. Interventional pain physicians and other clinicians who perform image-guided pain procedures use it for selected patients with persistent knee pain, including pain associated with osteoarthritis. The code covers treatment of three or more genicular nerve branches and includes imaging guidance when performed.
Report the code once for the treated knee when three or more branches are destroyed; treatment of only one or two genicular branches is generally reported with 64640 instead. The procedure note should identify the treated side and branches, the neurolytic technique, and any imaging guidance. A 10-day global period includes related postoperative visits during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
How South Dakota compares for 64624
Across 109 of 109 payment localities, the office rate for 64624 runs from $362.15 in Arkansas to $559.19 in San Benito County, CA. South Dakota pays $406.29. The RVUs are the same everywhere; the geographic indexes change the dollars.
- South Dakota · this page$406.29
- Los Angeles, CA · California$471.02+$64.73
- Washington, DC area · District of Columbia$473.77+$67.48
- Miami, FL · Florida$435.62+$29.33
- Chicago, IL · Illinois$422.86+$16.57
- Manhattan, NY · New York$472.90+$66.61
- Alaska · Alaska$469.57+$63.28
Other areas in South Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $367.69 | $124.53 |
| ArkansasArkansas | $362.15 | $123.44 |
| ArizonaArizona | $400.12 | $130.83 |
| Bakersfield, CACalifornia | $440.78 | $136.21 |
| Chico, CACalifornia | $440.08 | $135.51 |
| El Centro, CACalifornia | $440.12 | $135.55 |
| Fresno, CACalifornia | $440.08 | $135.51 |
| Hanford, CACalifornia | $440.08 | $135.51 |
| Madera, CACalifornia | $440.08 | $135.51 |
| Merced, CACalifornia | $440.08 | $135.51 |
| Modesto, CACalifornia | $440.08 | $135.51 |
| Napa, CACalifornia | $515.18 | $148.92 |
| Oxnard, CACalifornia | $469.34 | $140.87 |
| Redding, CACalifornia | $440.08 | $135.51 |
| Rest of CaliforniaCalifornia | $440.08 | $135.51 |
| Riverside, CACalifornia | $442.49 | $137.92 |
| Sacramento, CACalifornia | $463.23 | $140.03 |
| Salinas, CACalifornia | $461.53 | $139.45 |
| San Diego, CACalifornia | $473.42 | $141.06 |
| Marin County, CACalifornia | $547.08 | $155.25 |
| San Francisco, CACalifornia | $546.83 | $155.00 |
| San Benito County, CACalifornia | $559.19 | $158.46 |
| Santa Clara County, CACalifornia | $558.16 | $157.44 |
| San Luis Obispo, CACalifornia | $453.94 | $137.42 |
| Santa Cruz, CACalifornia | $478.77 | $141.12 |
| Santa Maria, CACalifornia | $463.54 | $139.52 |
| Santa Rosa, CACalifornia | $483.69 | $142.43 |
| Stockton, CACalifornia | $440.08 | $135.51 |
| Vallejo, CACalifornia | $514.82 | $148.56 |
| Visalia, CACalifornia | $440.08 | $135.51 |
| Yuba City, CACalifornia | $440.08 | $135.51 |
| ColoradoColorado | $431.16 | $135.48 |
| ConnecticutConnecticut | $439.16 | $139.86 |
| DelawareDelaware | $406.96 | $132.40 |
| Fort Lauderdale, FLFlorida | $421.29 | $139.78 |
| Rest of FloridaFlorida | $400.68 | $135.01 |
| Atlanta, GAGeorgia | $418.04 | $135.70 |
| Rest of GeorgiaGeorgia | $377.77 | $129.88 |
| Hawaii, Guam, HIHawaii | $452.23 | $136.26 |
| IowaIowa | $379.34 | $125.06 |
| IdahoIdaho | $381.51 | $125.84 |
| East St. Louis, ILIllinois | $392.83 | $137.17 |
| Rest of IllinoisIllinois | $387.26 | $133.54 |
| Suburban Chicago, ILIllinois | $426.11 | $140.71 |
| IndianaIndiana | $383.86 | $126.25 |
| KansasKansas | $376.58 | $125.36 |
| KentuckyKentucky | $374.76 | $127.71 |
| New Orleans, LALouisiana | $393.15 | $131.65 |
| Rest of LouisianaLouisiana | $373.79 | $127.85 |
| Metropolitan Boston, MAMassachusetts | $476.23 | $144.42 |
| Rest of MassachusettsMassachusetts | $428.06 | $135.44 |
| Baltimore area, MDMaryland | $437.74 | $139.56 |
| Rest of MarylandMaryland | $415.25 | $134.02 |
| Rest of MaineMaine | $382.60 | $126.94 |
| Southern Maine, MEMaine | $405.55 | $130.16 |
| Detroit, MIMichigan | $404.92 | $136.76 |
| Rest of MichiganMichigan | $384.07 | $130.35 |
| MinnesotaMinnesota | $415.34 | $129.38 |
| Metropolitan Kansas City, MOMissouri | $391.33 | $130.39 |
| Metropolitan St. Louis, MOMissouri | $395.71 | $131.15 |
| Rest of MissouriMissouri | $366.49 | $126.95 |
| MississippiMississippi | $364.44 | $125.18 |
| MontanaMontana | $411.15 | $133.25 |
| North CarolinaNorth Carolina | $386.92 | $127.64 |
| North DakotaNorth Dakota | $406.80 | $128.90 |
| NebraskaNebraska | $381.78 | $125.28 |
| New HampshireNew Hampshire | $423.46 | $134.17 |
| Northern New JerseyNew Jersey | $468.37 | $146.01 |
| Rest of New JerseyNew Jersey | $444.79 | $141.33 |
| New MexicoNew Mexico | $385.89 | $131.06 |
| NevadaNevada | $410.26 | $132.09 |
| NYC suburbs and Long Island, NYNew York | $483.60 | $153.18 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $447.00 | $142.70 |
| Queens, NYNew York | $478.29 | $149.82 |
| Rest of New YorkNew York | $392.87 | $128.87 |
| OhioOhio | $383.18 | $129.46 |
| OklahomaOklahoma | $375.04 | $126.88 |
| Portland, OROregon | $446.37 | $137.62 |
| Rest of OregonOregon | $407.69 | $130.91 |
| Metropolitan Philadelphia, PAPennsylvania | $427.27 | $137.98 |
| Rest of PennsylvaniaPennsylvania | $384.33 | $129.22 |
| Puerto RicoPuerto Rico | $414.60 | $133.65 |
| Rhode IslandRhode Island | $422.56 | $135.49 |
| South CarolinaSouth Carolina | $385.57 | $128.79 |
| TennesseeTennessee | $378.43 | $125.82 |
| Austin, TXTexas | $429.18 | $135.17 |
| Beaumont, TXTexas | $381.63 | $128.75 |
| Brazoria, TXTexas | $407.30 | $131.91 |
| Dallas, TXTexas | $409.57 | $132.78 |
| Fort Worth, TXTexas | $406.44 | $132.43 |
| Galveston, TXTexas | $408.30 | $132.35 |
| Houston, TXTexas | $412.32 | $136.37 |
| Rest of TexasTexas | $394.01 | $130.29 |
| UtahUtah | $391.08 | $129.85 |
| VirginiaVirginia | $403.53 | $130.35 |
| Virgin Islands, VIUnited States Virgin Islands | $414.60 | $133.65 |
| VermontVermont | $404.31 | $129.20 |
| Rest of WashingtonWashington | $427.55 | $134.93 |
| King County, WAWashington | $487.06 | $146.08 |
| WisconsinWisconsin | $392.54 | $126.32 |
| West VirginiaWest Virginia | $372.11 | $130.62 |
| WyomingWyoming | $409.25 | $131.36 |
64624 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$362.15
$499.64
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $469.57 | 1 |
| AL | $367.69 | 1 |
| AR | $362.15 | 1 |
| AZ | $400.12 | 1 |
| CA | $440.08–$559.19 | 29 |
| CO | $431.16 | 1 |
| CT | $439.16 | 1 |
| DC | $473.77 | 1 |
| DE | $406.96 | 1 |
| FL | $400.68–$435.62 | 3 |
| GA | $377.77–$418.04 | 2 |
| GU | $452.23 | 1 |
| HI | $452.23 | 1 |
| IA | $379.34 | 1 |
| ID | $381.51 | 1 |
| IL | $387.26–$426.11 | 4 |
| IN | $383.86 | 1 |
| KS | $376.58 | 1 |
| KY | $374.76 | 1 |
| LA | $373.79–$393.15 | 2 |
| MA | $428.06–$476.23 | 2 |
| MD | $415.25–$473.77 | 3 |
| ME | $382.60–$405.55 | 2 |
| MI | $384.07–$404.92 | 2 |
| MN | $415.34 | 1 |
| MO | $366.49–$395.71 | 3 |
| MS | $364.44 | 1 |
| MT | $411.15 | 1 |
| NC | $386.92 | 1 |
| ND | $406.80 | 1 |
| NE | $381.78 | 1 |
| NH | $423.46 | 1 |
| NJ | $444.79–$468.37 | 2 |
| NM | $385.89 | 1 |
| NV | $410.26 | 1 |
| NY | $392.87–$483.60 | 5 |
| OH | $383.18 | 1 |
| OK | $375.04 | 1 |
| OR | $407.69–$446.37 | 2 |
| PA | $384.33–$427.27 | 2 |
| PR | $414.60 | 1 |
| RI | $422.56 | 1 |
| SC | $385.57 | 1 |
| SD | $406.29 | 1 |
| TN | $378.43 | 1 |
| TX | $381.63–$429.18 | 8 |
| UT | $391.08 | 1 |
| VA | $403.53–$473.77 | 2 |
| VI | $414.60 | 1 |
| VT | $404.31 | 1 |
| WA | $427.55–$487.06 | 2 |
| WI | $392.54 | 1 |
| WV | $372.11 | 1 |
| WY | $409.25 | 1 |
How the 64624 rate is calculated
Each of 64624’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 64624
RVUs × geographic indexes × conversion factor
Work2.44
2.44 RVUs× 1.000 GPCI
Practice expense9.65
9.65 RVUs× 1.000 GPCI
Malpractice0.22
0.22 RVUs× 1.000 GPCI
Adjusted RVUs
12.3100
Conversion factor
$33.4009
Medicare rate
$411.17
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact South Dakota inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
7,174
- Code
- 64624
- Physician work
- 2.44
- Practice expense
- 9.65
- Malpractice
- 0.22
GPCI2026.csv
94
- Locality
- South Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.336
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.44 | × 1.000 | 2.4400 |
| Practice expense | 9.65 | × 1.000 | 9.6500 |
| Malpractice | 0.22 | × 0.336 | 0.0739 |
| Total RVUs | 12.1639 | ||
| Conversion factor | × 33.4009 | ||
Office rate, South Dakota$406.29
Office: (2.44 × 1 + 9.65 × 1 + 0.22 × 0.336) × $33.4009 = $406.29
Facility: (2.44 × 1 + 1.33 × 1 + 0.22 × 0.336) × $33.4009 = $128.39
Payment rules and modifiers for 64624
64624 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 64624
Genicular nerve ablation, three or more branches
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 010 | Minor procedure: the day of the procedure plus 10 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.80/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 64624
Genicular nerve ablation, three or more branches
10-day global period ends
Oct 11, 2026
Covers Oct 1, 2026 through Oct 11, 2026 (11 days).
Visit on Oct 31, 2026
After the global period ends: visits and procedures are billed normally.
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
64624 without 50 · national office
$411.17
Genicular nerve ablation, three or more branches
64624-50 · Bilateral: 150%
$616.76
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
How 64624 has changed in South Dakota
64624 · Office / nonfacility
$406.29
Effective 2026-10-01
The base rate is $40.20 higher than on 2025-10-01, moving from $366.09 to $406.29 (11.0%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2026
RVU26A
$366.09changed to$406.29
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 2.50 changed to 2.44
- Practice expense RVU 8.73 changed to 9.65
- Malpractice RVU 0.23 changed to 0.22
- Malpractice GPCI 0.382 changed to 0.336
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$383.40changed to$366.09
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 8.93 changed to 8.73
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$377.14changed to$383.40
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$389.49changed to$377.14
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 8.91 changed to 8.93
- Malpractice GPCI 0.364 changed to 0.382
January 1, 2023
RVU23A
$403.62changed to$389.49
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 9.08 changed to 8.91
- Malpractice RVU 0.24 changed to 0.23
- Malpractice GPCI 0.347 changed to 0.364
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$418.95changed to$403.62
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 9.42 changed to 9.08
- Malpractice RVU 0.25 changed to 0.24
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$412.08changed to$418.95
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 8.83 changed to 9.42
- Malpractice RVU 0.24 changed to 0.25
- Malpractice GPCI 0.368 changed to 0.347
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
No ratechanged to$412.08
Held through RVU20B, RVU20C, RVU20D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $406.29 | $128.39 | RVU26D |
| 2026-07-01 | $406.29 | $128.39 | RVU26C |
| 2026-04-01 | $406.29 | $128.39 | RVU26B |
| 2026-01-01 | $406.29 | $128.39 | RVU26A |
| 2025-10-01 | $366.09 | $138.05 | RVU25D |
| 2025-07-01 | $366.09 | $138.05 | RVU25C |
| 2025-04-01 | $366.09 | $138.05 | RVU25B |
| 2025-01-01 | $366.09 | $138.05 | RVU25A |
| 2024-10-01 | $383.40 | $140.40 | RVU24D |
| 2024-07-01 | $383.40 | $140.40 | RVU24C |
| 2024-04-01 | $383.40 | $140.40 | RVU24B |
| 2024-03-09 | $383.40 | $140.40 | RVU24AR |
| 2024-01-01 | $377.14 | $138.11 | RVU24A |
| 2023-10-01 | $389.49 | $141.10 | RVU23D |
| 2023-07-01 | $389.49 | $141.10 | RVU23C |
| 2023-04-01 | $389.49 | $141.10 | RVU23B |
| 2023-01-01 | $389.49 | $141.10 | RVU23A |
| 2022-10-01 | $403.62 | $143.04 | RVU22D |
| 2022-07-01 | $403.62 | $143.04 | RVU22C |
| 2022-04-01 | $403.62 | $143.04 | RVU22B |
| 2022-01-01 | $403.62 | $143.04 | RVU22A |
| 2021-10-01 | $418.95 | $144.00 | RVU21D |
| 2021-07-01 | $418.95 | $144.00 | RVU21C |
| 2021-04-01 | $418.95 | $144.00 | RVU21B |
| 2021-01-01 | $418.95 | $144.00 | RVU21A |
| 2020-10-01 | $412.08 | $147.18 | RVU20D |
| 2020-07-01 | $412.08 | $147.18 | RVU20C |
| 2020-04-01 | $412.08 | $147.18 | RVU20B |
| 2020-01-01 | $412.08 | $147.18 | RVU20A |
| 2019-10-01 | Not in this release | Not in this release | RVU19D |
| 2019-07-01 | Not in this release | Not in this release | RVU19C |
| 2019-04-01 | Not in this release | Not in this release | RVU19B |
| 2019-01-01 | Not in this release | Not in this release | RVU19A |
| 2018-10-01 | Not in this release | Not in this release | RVU18D |
| 2018-07-01 | Not in this release | Not in this release | RVU18C |
| 2018-04-01 | Not in this release | Not in this release | RVU18B |
| 2018-01-01 | Not in this release | Not in this release | RVU18AR1 |
| 2017-10-01 | Not in this release | Not in this release | RVU17D |
| 2017-07-01 | Not in this release | Not in this release | RVU17C |
| 2017-04-01 | Not in this release | Not in this release | RVU17B |
| 2017-01-01 | Not in this release | Not in this release | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the South Dakota rate applies
South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Agar
- Agency Village
- Akaska
- Albee
- Alcester
- Alexandria
- Allen
64624 billing questions
How many genicular nerve branches qualify for 64624?
Use 64624 when the procedure destroys three or more genicular nerve branches. For destruction of only one or two branches, 64640 is generally the relevant code.
Is imaging guidance separately reported?
Imaging guidance, when performed for the genicular nerve destruction, is included in 64624.
How should bilateral treatment be reported?
Use modifier 50 for bilateral treatment. CMS pays bilateral 64624 at 150%.
What is included in the global period?
Related postoperative visits for 10 days after the procedure are included in the 10-day global period.
How are other same-session procedures paid?
The highest-valued procedure is paid in full, and other procedures performed in the same session are paid at 50%.
What documentation supports reporting 64624?
Document the treated knee and side, the genicular branches destroyed, and the neurolytic technique. Include details of imaging guidance when it is performed.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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